Organization
CREEKWOOD INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER PAUL GRAYSON MD (MD PRESIDENT)
(816) 453-6200
Entity
Organization
Contact information
Practice address
5400 N OAK TRFWAY, STE 100, KANSAS CITY, MO 64118
(816) 453-6200
(816) 455-0595
Mailing address
5400 N OAK TRFWAY, STE 100, KANSAS CITY, MO 64118
(816) 453-6200
(816) 455-0595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09292014
BCBS
MO
Enumeration date
10/23/2006
Last updated
08/22/2020
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